Hospital
Prairie Ridge Health, INC.
Prairie Ridge Health, INC. was paid $6.82M by Medicaid between Jan 2018 and Dec 2024, across 107 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoPRAIRIE RIDGE HEALTH, INC.
COLUMBUS, WI 53925
COLUMBUS, WI 53925
33aNPI1841376183assigned 10/30/2006
33bProvider typeCritical Access Hospital
28Total paid$6.82M
24GClaims118,910
24DCodes billed107
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Critical Access Hospital providers in Wisconsin
Rank by total paid#21 of 48
Median peer was paid$4.30M
This provider vs. median1.6×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13,011 | $648K | |
| 2019 | 11,021 | $561K | |
| 2020 | 11,457 | $623K | |
| 2021 | 17,228 | $1.01M | |
| 2022 | 22,068 | $1.34M | |
| 2023 | 25,036 | $1.50M | |
| 2024incomplete | 19,089 | $1.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 10,115 | 8,130 | $1.92M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 5,340 | 4,771 | $996K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 12% | 5,338 | 3,844 | $838K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.5% | 3,073 | 2,343 | $583K |
| 96361 | Intravenous infusion, hydration; each additional hour | 7.4% | 923 | 800 | $508K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.6% | 1,656 | 1,478 | $382K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 3.8% | 848 | 793 | $262K |
| 70450 | Computed tomography, head or brain; without contrast material | 2.9% | 725 | 657 | $201K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.1% | 668 | 612 | $141K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 1.7% | 748 | 582 | $118K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.7% | 448 | 189 | $114K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.3% | 1,176 | 1,098 | $91K |
95 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.1% | 2,169 | $77K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,135 | $67K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 885 | $64K |
| 80053 | Comprehensive metabolic panel | <1% | 5,233 | $42K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,245 | $25K |
| 87430 | <1% | 1,652 | $25K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,647 | $24K |
| 80306 | <1% | 1,834 | $24K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 901 | $18K |
| 87503 | <1% | 856 | $18K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 2,624 | $18K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 54 | $17K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 71 | $16K |
| 81025 | <1% | 1,822 | $13K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 211 | $12K |
| 84484 | <1% | 1,969 | $12K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 63 | $12K |
| 85027 | <1% | 2,642 | $11K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 944 | $10K |
| 81001 | <1% | 3,834 | $9K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,476 | $9K |
| 87081 | <1% | 1,310 | $8K | |
| 83690 | <1% | 1,757 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 58 | $8K |
| 83605 | <1% | 1,442 | $8K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 272 | $7K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 271 | $7K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 284 | $6K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 176 | $6K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 2,715 | $5K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 18 | $5K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 242 | $5K |
| 87631 | <1% | 41 | $5K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 3,445 | $4K |
| 83880 | <1% | 305 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 1,771 | $4K |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 42 | $4K |
| 87632 | <1% | 17 | $4K | |
| 80061 | Lipid panel | <1% | 352 | $4K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 88 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 526 | $3K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 152 | $3K |
| 36415 | Collection of venous blood by venipuncture | <1% | 11,300 | $3K |
| 83735 | <1% | 625 | $2K | |
| 85610 | <1% | 679 | $2K | |
| 85007 | <1% | 829 | $2K | |
| 73610 | <1% | 92 | $2K | |
| 73030 | <1% | 58 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 30 | $2K |
| G0378 | Hospital observation service, per hour | <1% | 20 | $2K |
| 76830 | Ultrasound, transvaginal | <1% | 14 | $1K |
| 82077 | <1% | 147 | $1K | |
| 73630 | <1% | 90 | $1K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 582 | $1K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 27 | $1K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 27 | $1K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 1,661 | $968.05 |
| 73562 | <1% | 61 | $930.88 | |
| 0352U | <1% | 211 | $891.63 | |
| 84145 | <1% | 66 | $706.14 | |
| 81003 | <1% | 373 | $695.84 | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 14 | $658.06 |
| 87040 | <1% | 129 | $563.32 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 28 | $523.71 |
| 86803 | <1% | 31 | $371.00 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 15 | $362.60 |
| 85379 | <1% | 53 | $347.16 | |
| 87481 | <1% | 14 | $326.34 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 58 | $302.51 |
| 87205 | <1% | 85 | $278.96 | |
| 87186 | <1% | 42 | $277.14 | |
| 82962 | <1% | 146 | $253.10 | |
| 88142 | <1% | 12 | $243.07 | |
| 86140 | <1% | 82 | $235.35 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 464 | $217.37 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,406 | $201.22 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 1,898 | $163.67 |
| 87905 | <1% | 15 | $140.41 | |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 1,023 | $133.19 |
| 87077 | <1% | 13 | $100.20 | |
| 84466 | <1% | 12 | $92.26 | |
| J2704 | Injection, propofol, 10 mg | <1% | 825 | $89.61 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,812 | $82.49 |
| 87088 | <1% | 15 | $76.52 | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 2,830 | $68.00 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 3,864 | $62.61 |
| 83540 | <1% | 12 | $46.83 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,881 | $14.69 |
| J3010 | Injection, fentanyl citrate, 0.1 mg | <1% | 318 | $10.01 |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 56 | $9.94 |
| 97803 | <1% | 15 | $6.11 | |
| J2250 | Injection, midazolam hydrochloride, per 1 mg | <1% | 122 | $5.77 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 52 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 37 | $0.00 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | 0% | 30 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRUSSELL, JOHN (PRESIDENT & CEO)
| Provider | Location | Paid |
|---|---|---|
| Cape County Private Ambulance Service, INC. | Cape Girardeau, MO | $5.46M |
| Prairie Ridge Health, INC. | Columbus, WI | $105K |
| Catholic Health System Infusion Pharmacy INC | Depew, NY | $104K |
| Prairie Ridge Health, INC. | Beaver Dam, WI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.